Organizational and resident characteristics of nursing homes associated with partial and complete implementation of the Preferences for Everyday Living Inventory (PELI)

A key component of person-centered care is the assessment and fulfillment of residents’ preferences – yet few nursing homes consistently carry out these practices. From 2015 to 2019, the Ohio Department of Medicaid added the Preferences for Everyday Living Inventory (PELI) as a quality indicator to improve the delivery of person-centered care in Ohio’s nursing homes. This study constructed a nursing home-level database from five sources to understand the associations between resident and organizational characteristics and PELI implementation in Ohio nursing homes. Results showed that PELI implementation increased over time and findings showed a relationship with greater implementation in communities that were for-profit, larger, higher in Medicare funding, higher in certified nursing assistant and activity staff hours, and in urban areas. Findings aid in understanding nursing home characteristics related to adopting person-centered interventions.